Provider Demographics
NPI:1558434431
Name:DENNIS HUI-TING CHEN, M.D., INC.
Entity Type:Organization
Organization Name:DENNIS HUI-TING CHEN, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:HUI-TING
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-596-6848
Mailing Address - Street 1:1945 PALO VERDE AVE
Mailing Address - Street 2:SUITE #101
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-3443
Mailing Address - Country:US
Mailing Address - Phone:562-596-6848
Mailing Address - Fax:562-596-8879
Practice Address - Street 1:1945 PALO VERDE AVE
Practice Address - Street 2:SUITE #101
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-3443
Practice Address - Country:US
Practice Address - Phone:562-596-6848
Practice Address - Fax:562-596-8879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA 26597207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWA 26597 CMedicare ID - Type Unspecified